Breast lift revision - can I have something less invasive than a full lift? (Photos)

The best breast lift option for you depends on what you want to achieve.

If you just desire removal of the residual areola at the bottom, that can be done in the office by simply excising the tissue. This will not change the shape of our breast or lift it in any way,

If you feel you are not full enough at the top, then a small implant could be added for a rounder look. This would avoid incisions around the areola.

The other option is re-doing the auto-augmentation which involves the most work, and could further affect nipple sensitivity.

Have a good discussion with a plastic surgeon once you decide on your goals.

Thank you for your question. By history and judging from your picture, you have undergone a limited-scar mastopexy with a lollipop incision and have now developed progressive sliding down of the implant with bottoming out of the breast. The short answer to your question is that to repair this defect will require a full breast lift without moving the nipple-areolar complex as most of the problem is in the inferior portion of the breast. To understand what I am explaining, let me propose the following: The basic problem with saggy breasts is that the structural integrity of the breast tissue itself becomes weak and tissue falls off the chest wall. To a greater or lesser degree, the areola complex descends as well. In recent years, breast lifts have tried to limit the scar by either placing it around the areola as in a Benelli breast lift, or a Lejour type lift with a lollipop incision. Both of these techniques can be effective at repositioning the nipple areolar complex, but both suffer from the fact that it's a weak lift with regard to breast tissue. Added to that is as breasts begin to sag, they get extra skin in a vertical dimension, which is addressed by repositioning the nipple, but also in a horizontal dimension, which requires an inverted T or anchor incision to address. In your circumstance, the big problem is laxity of the lower pole of the breast, which can only be corrected by a formal lift. Judging from your previous incisional scars, the new scar will fade in time. The lift would need some internal support with internal sutures (as I do it) or maybe mesh if you want an implant. I hope this has been helpful.

Hello!
Thanks for sharing your concerns.
When we do a breast lift we are reducing the size of a 3D shape, treating the side-to-side excess (with a vertical incision), the up-down length (with a horizontal incision at the breast fold) and sometimes we need to reduce part of the content tissue to make it fit on the new lifted position.
In your case, the up-down excess seems to be predominant (the long distance between the nipple and your bottom fold). I don't see a problem with do a limited skin reduction at the bottom fold without changing the rest. There is a trade-off though: The breast shape will change from being round to being oval in a side-to-side direction as this lenght wasn't changed. With time it will probably round up again.
So answering your questions, yes, it is possible with some trade-offs that your surgeon could explain in person with a good exam.
Hope this helps!
Rafael Ramos Vecchio MDPlastic and Reconstructive SurgeonCoral Gables, FL

Based on your post photos, revision of the vertical full breast lift scar to decrease the noticeable nipple complex hyper pigmentation or brown areas can be done under local anesthesia. Best of virtual consult with for better explanation. Expect fee to range from $1200-$3000..